JAMES ST CLAIR, MD, PHD

Orthopaedic Surgery of the Spine Physician · MUNSTER, IN

Individual Active NPI 1942650700

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243621,262$460,955$152,334$117,619
2023302822$360,507$119,669$91,996
2022197494$350,705$60,920$48,011

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more235$115$88
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more121$81$63
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more118$150$110
72100X-ray of lower and sacral spine, 2-3 views101$27$20
72110X-ray of lower and sacral spine, minimum of 4 views81$41$29
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's68$15$12
22614Fusion of additional segment of spine59$175$140
72040X-ray of upper spine, 2-3 views52$28$21
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more38$167$119
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment23$69$55
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes21$120$96
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion21$107$85

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Orthopaedic Surgery of the Spine Physician207XS0117X01088114AIN
Orthopaedic Surgery of the Spine Physician207XS0117X286571MA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.